Individual provider Active NPI

Ingrid C Young Alers

  • Speech-Language Pathologist
National Provider Identifier
1578855862
Registry record updated Oct 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
1032 Issued in PR
Practice address
Urb Cana PP14 Calle 5
Bayamon, PUERTO RICO 00957
UM
Phone
(787) 998-8866
NPI assigned
May 5, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 7, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 1032 PR Primary

Addresses

Primary practice location

Urb Cana PP14 Calle 5
Bayamon, PUERTO RICO 00957
UM

Mailing address

200 Calle Alcala Apt 401B
College Park
San Juan, PR 00921-3913
Phone (787) 310-4066

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111004000341 PR Practitioner - Qualified Speech Language Pathologist 5395917926 Reassigns benefits to 1 organization
Practice locations: San Juan, PR

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Bright Brains Corp. Speech-Language Pathologist CurrentSince Apr 12, 2013 Accepting new patients

Locations

PP14 Calle 5
Bayamon, PR 00957
Phone (787) 944-4433

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1304553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1475798400000",
    "number": "1578855862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 CALLE ALCALA APT 401B",
            "address_2": "COLLEGE PARK",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009213913",
            "telephone_number": "787-310-4066"
        },
        {
            "country_code": "UM",
            "country_name": "United States Minor Outlying Islands",
            "address_purpose": "LOCATION",
            "address_type": "FGN",
            "address_1": "URB CANA PP14 CALLE 5",
            "city": "BAYAMON",
            "state": "PUERTO RICO",
            "postal_code": "00957",
            "telephone_number": "787-998-8866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG ALERS",
        "first_name": "INGRID",
        "middle_name": "C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-05-05",
        "last_updated": "2016-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "PR",
            "license": "1032",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.